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Home My WebLink About0044 WHITE CAP LANE - Health 44 White Cap Lane West Barnstable A = 178 - 028 FORM 1 I - SOIL EVALUATOR FORM Page 1 of 3 No. 11049 Date 5/10/04 Commonwealth of Massachusetts Barnstable, Massachusetts Soil Suitabilitv for On-Site Sewage Disposal Performed By: David C. Thuin, PE PLS Date: 7/14/05 Witnessed By: Donald Desmarais RS Location Addr.ess or Lct;# 0v ners;Name Walter Unaermann Lot# _ ._ ddre_ss PO Box 395. Jupiter, FL 33468 44 White Cape Lane u..... .W Shana Klee, Applicant 1,7 New Construction ❑Repair❑✓ ________.._ _ _______.___._- Telephone# 508-888-6870 Office Review Published Soil Survey Available: No ❑ Yes ❑✓ Year Published 1993 Publication Scale 1:25000 Soil Map Unit BoB Drainage Class MWD Soil Limitations Severe wetness, slow percolation Surficial Geologic Report Available: No ❑ Yes ❑✓ Year Published 1975 Publication Scale 1:24000 Geologic Material (Map Unit) Qld Land Form Glacial Lake and Ice Contact Deposits Flood Insurance Rate Map: ❑ - Above 500 Year flood boundary No ❑ Yes ❑✓ Within 500 Year flood boundary No ❑ Yes ❑ Within 100 Year flood boundary No ❑ Yes ❑ �I Wetland area: i 2Z National Wetland Inventory Map (map unit) NA Wetlands Conservancy Program Map(map unit) NA r--- Current Water Resource Conditions(USGS): Month 7/05 Range Above Normal ❑✓ Normal ❑✓ Below Normal ❑ Other References Reviewed: None DEF APPROM FOILm'12/07It3 Form copy 2/2/02-DCT ;J FORM I I - SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot No. 44 White Cape Lane On-Site Review Deep Hole Number As Noted Date: Time: 10:00 Weather: Sunny,mild Location (identify on site plan) See attached sketch Land Use Vacant Residential Lot Slope (%) 3-8% Surface Stones NO Vegetation Wooded - Landform Gentiv slopinq qround Position on Landscape (sketch on the back) Distances from: Open Water Body_ 100+ feet Drainage way NA feet Possible Wet Area_ 150_ feet Property line_ 50' Min feet Drinking Water Well 150+ feet Other NA feet DEEP OBSERVATION HOLE LUG DEPTH FROM E SOIL SOIL SOIL SOIL OTHER W,SURFACE HORIZON TESTURE vCOLOR MOTTLING (STRUCTURE,STONES,".BOULDERS? INCHES (USDA) (MUNSELL) CONSISTENCY,&%GRAVEL) ? TP1 0 3 A Loam 2.5Y4/2 NA Organic loam..... 3 16 B Clav Loam 2 5Y5/3 NA Sandv Clav Loam_ . _ ..__.. .__ ........_..._..�_._____ _._. .. _ _< 16 17' C1/C2 Siltv_Clav 2 5Y6/1 Yes Small pockets._of Sandv/Clay Im, f ..... Loam 2.5Y5/3 Seepage Cad 120' ..... ...... ..... ........ ................. ...... .......... _ ........ .. .... ......_ ...... TP2 0 3 A Loam 2 5Y4/2 NA Organic_Loam Duff _3-16 B Clav Loam 2 5Y5/3 NA Sandv Clav loam... ..... _._ -- ..... 16 17 C1/C2 r Silty Clav __.µ,_2 5Y6/1 Yes Pockets of Sandv/Clav,.loam s 32 74 C_1.... _-_ ......... __.. ,..._. ._....__ ......... _.... __.. .. ...........__ .......... _. ............. ._...... . ........ .. (....... ..........................___ _.. TP3 0-12' AID Or Loam 1 OY3/2 NA Orq. Loam, friable ...... _.. _ ._ . ,_.._ .__ _ _ _ ........................................ 12-27" B Sandv Clav 1 OY6/1 NA Dense ...,_ . .. ......... _. 27-96"_ C1 Clav Loam " " 2 5Y5/2 NA Pockets of Sand and Water 96"-15 C2 Clav Loam 2 5Y5/2 Yes 30%-40% Sand in Pockets ?" ) 1 y:y MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Parent material (geologic) Glacial Lake Deposits Depth to bedrock '20' Depth to Groundwater: Not Observed Weeping from Pit Face: 120"TP1 Estimated Seasonal High Ground Water: Not Estimated tip APPRO Fo$.L%t=12t07m Form copy 2/2/02-DCT ,J FORM 11 - SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No. 44 White Cape Lane Determination of Seasonal High Water Table Method Used Depth observed standing in observation hole None inches Depth weeping from side of observation hole 120 inches Depth of soil mottles None Obs. inches Ground water adjustment feet Index Well Number Reading Date Index well level Adjustment factor Adjusted ground water level Depth to Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? NO If not, what is the depth of naturally occurring pervious material? Certification I certify that on NOV. 1994 (date) I have passed the soil evaluator examination approved b the Department of Environmental pp Y p mental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017 Signature Date le O� FORM 12 - PERCOLATION TEST DEP APPROVED $.LU-1210719$ Form copy 2/2/02-DCT Location Address or Lot No. 44 White Cape Lane COMMONWEALTH OF MASSACHUSETTS Sandwich, Massachusetts .................... ............ PERCOLATTON TEST Date- Time: lObservation Hole# No Percolation Test Performed 'Depth of Perc Class IV Soils jtart Pre-soak lEnd Pre-soak -Time @ 12" I ITime @ 9 !Time @ 6" ITime (9"- 6") [Rate Min./inch Minimum of 1 Percolation test must be performed in both the primary area AND reserve area. Site Passed 0 Site Failed W1 No suitable soils observed Performed by: David C. Thuin, PE PLS Witnessed by. Donald Desmarais RS Comments- Further testing requierd DE APPROVED FOLM IZ107(9S Form copy 2/2/02-DCT 'Mee. Iled /V Town of Barnstable P# Department of Regulatory Services `"MAU�`•"°L4 ' Public Health Division Date 05/31/05 200 Main Street, Hyannis Ma 02601 Date Scheduled 1h -5 Time /V _ Fee..Pd.$100. .. s Soil Suitability Assessment forwg5e Di al Performed By: David C. Thulin Witnessed,By: LOCATION & GENERAL INFORMATION Location Address: 44 White Cap Lane owner's Name: Walter Ungermann tj"e >� aY�� P.O. Box 395 Jupiter, FL 33468 Address: � P Shana Klee, Applicant 17/�29 David C. Thulin Assessor's Map/Parcel:_ Engineer's Name: NEW CONSTRUCTION 0 REPAIR 0 Telephone# 508-888-7259 Land Use Vacant Lot Slopes(%) 3 '� `�t� Surface Stones Distances from: Open Water Body 7ZOO ft Possible Wet Area ft Drinking Water Well150 ft Drainage Way / ),j- ft Property Line h U ft Other .ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands iri'proximity to lioles) ,................. N �; (�L a C__ 1 �� M LLT_PP__:� > :✓ •- � ff: t) Q M Parent material(geologic) Depth to Bedrock > LO Depth.to Groundwater:Standing Water in Hole: Nip Weeping from Pit Face J Estimated Seasonal High Gromidwater: PC_1_ L1_b e:c:1l''U "J DETERMINATION FOR SEASONAL HIGH WATER TABLE Mefhod UsedKA Depth 06served standing in obs.hole: �� _in. Depth to soil mottles: in. Depth to weeping fi-om side of obs.hole: in. Groundwater Adjustment ft. Index Well# Readina Date: Index Well level Adj.factor Adj.Groundwater Level PERCOLATION TEST Date Time Observation Hole# Time at 9" Depth of Perc _.._..._.._ Time at 6" i Start Pre-soak Time a; `time at(9"-6") End Pre-soak Rate Min./Inch V / ; Site Suitability Assesment: Sne Passed I Site Failed:, � Additional Testing needed(Y/N)_� Origi'n'ai: Public Flealth Division Observation Hole Data To Be Completed on Back ***If I percolation test is to be conducted within'100' of wetland,you must first notify the Barnstable Conservation.Division.at least.one(1)week prior to the beginning. | � � � � � _ � � � � � � � � � � � � � DEEP OBSERVATION HOLE LOG Hole# T-PI Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (MUnsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) DEEP OBSERVATION HOLE LOG Hole# 'Z, Depth from Soil Florizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other SUI-faCe(iu.) (U S DA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) � � DEEP OBSERVATION HOLE LOG- Hole# | Depth firom Soil Horizon Soil Texture Soil Color Soil Other Sfflke(in.) (USDA) (Munsell) Mottling (Structure,Stones,BOUILI-S. Consistency,%Gravel) � � Above 500 year flood,boundary ^�� Yes Within 500 year hoond,y No Yes � v�thin \V0 year flood hmndm ' [—1 Yes Fj Does ut least four feet nr naturally 000u ng�ervious materialexist iu all areas observed throughout the area pvopoacd for the soi| nhonrpdoo system?_ If not,what is the depth of naturally nouurrinQ Pervious material? W4 ()k9CVU/JCertification | uortifvihuimn (date) | have passed the soil evaluator examination u 'pvuvud hv�hx Department of Bnviromnunto| Pnotech6n andihuLth�ohov�uno|yxixnus performed hv�mo�onxio|consistent �h' i dtraining, � ' c the required � expertise d i described '—'' - - —'�~ Signature— - — ' --' - — -- --- | ` ` ' | APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS LOCATION O T �� Gl/ //T<' C'/��'`:� �� /� ;<`> NO. 2j VILLAGE /C/SST DATE _ Z S APPLICANT C'yW/F/a (' FEE 'l a- ADDRESS n,,, 7-� ,�� 1� t/ TELEPHONE NO. (Non-refundable) ENGINEER f'�G,f r:�t� _/= �^ �' TELEPHONE NO. DATE SCHEDULED (Applicant' s signature) • • • • • • • • • • • • • • • • • • • • •AS SSOR'S MAP � LOT NO: • • • • •.. • • • • • • • • • • • • • • • • • • • • • • • • • o • • • • • • • • o • o • • • o o • o • • • • • . SE SOIL LOG SUB-DIVISION NAME DATE_ TIME EXPANSION AREA: YESe/ NO �i/a �,�✓ '� /' ENGINEER TOWN WATER PRIVATE WELL BOARD OF HEALTH L 6,4 •ei@. EXCAVATOR SKETCH: (Street name, etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes ) 4F�'XijriA/C NOTES : woop r Jvg Sons 03 PERCOLATION RATE: TEST HOLE NO:-:011 ELEVATION: TEST HOLE NO: ELEVATION: 3 D/3/nP , W1e- See ' /p� cci�Tz 4 6 6 7 it`e/W o 7 8 S. 8 9 /3/r/ g 10 10 11 11 12 L /y `" 12 s'�,/✓� 13 ' • 13 \44,9 Y � 14 1 ,S�=Fig/��; /L 14 S 15 In", 7"0 --1AA• "`n ref- 15 f 9�' 16 16 SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD LEACHING PITS LEACHING TRENCHES UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS: A4 JW,-,ieG&- 4IX)r&;2.'09� ( NOTE: ENGINEERING PLANS MUST SHOW NUMBER .ASSIGNED ON PERC, TEST APPLICATION ORIGINAL: COMPLETED IN ENTIRETY aY P . .E . AND RETURNED TO BOARD OF HEALTH COPY: RETAINED BY APPLICANT 4 DAVID C. THULIN, PE PLS 211 MILL ROAD � (508)888-2345 EAST SANDWICH,MASSACHUSETTS 02537 F;fl(508)888-7259 10/3/2005 Ms. Shana Klee 619 Main Street Centerville, MA 02635 ref. 44 White Cap Lane Shana: This letter accompanies copies of the soils evaluation reports describing the results of the 7/14/05 soils testing at the referenced lot. The testing failed to show that suitable soils for the installation of an on-site septic system for new construction exist at the location and to the depths tested. Copies of these reports have been forwarded to the Town of Barnstable Health Department for its records. r-a Best regards, 6 �, -._ �a David C. Thulin, PE PLS -- . cc. Barnstable Health Department f jA iZ3 �� ty co r ; k / Town of Barnstable P# �� f Department of Regulatory Services HARIMM M& Public Health Division Date 05/31/05 �Ar 1659.�16 200 Main Street Hyannis Ma 02601 Date Scheduled l�e-/ /-5 Time Fee Pd.$100 Soil Suitability Assessment for S\wage Di pasal C Performed By: David C. Thulin Witnessed By: LOCATION & GENERAL INFORMATION Location Address: 44 White Cap Lanep Owner's Name: Walter Ungermann P.O. Box 395 Jupiter,FL 33468 Address: � Shana Klee, Applicant Assessor's Map/Parcel: 17/ 29 Engineer's Name: David C. Thulin NEW CONSTRUCTION REPAIR= Telephone# 508-8�8C8.-7259 Land Use Vacant Lot Slopes(%) 3 —0 `�10 Surface Stones /y S Distances from: Open Water Body7/BO ft Possible Wet Area�$�(� ft Drinking Water Well/jD ft Drainage Way__&/,�_ft Property Line b�� ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) We,T11 7P2 TP( T P3 Parent material(geologic) — Depth to Bedrock 5- �O Depth to Ground water:Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater. f 6-c-l"') 0— /Za �J DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: III Depth Observed standing in obs.hole: `A Ds in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj. factor Adj.Groundwater Level PERCOLATION TEST Date Time Observation Hole# Time at 9" Depth of Perc Time at 6" Start Pre-soak Time @ Time at(9"-6") End Pre-soak , Rate Min./Inch 0�l� (1 ✓�i �� V Site Suitability Assesment: Site Passed Site Failed:�Additional Testing needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back *** If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to the beginning. DEEP OBSERVATION HOLE LOG Hole# Tpj Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) Lo i � Il DEEP OBSERVATION HOLE LOG Hole# S Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) ---cis --��-?I --.-- � -- -----.-- - I DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) � Loc,� �oY►Z 3l� O Louts-, 2-1 4l, r'1 L� z:s Y� NAsteal I S �� mil_: �z-- 1 - - - d 011, 2_�Y51& Yes DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture So!I Color Soil Other Surface(in.) (USDA) (Munsell) Mottling/,' (Structure;Stones,Boulders. Consistency,%Gravel) I I Flood Insurance Rate Mao: Above 500 year flood boundary No0 Yes❑ Within 500 year boundry No[:] Yes ❑ Within 100 year flood bounda No❑ Yes ❑ Depth of Naturally Occurring Pervious Material IDoes,,at least four-feet-of naturally occurring,pervious material exist.in all areas observed,throuehout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Mot n kszV✓(,(1 Certification I certify that on (date) I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experi ce described in 310 CNIR 15.017. Signature . GW Date/,0 Z d6